Is splanchnic perfusion pressure more predictive of outcome than intragastric pressure in neonates with gastroschisis?

GROUND: The purpose of this study is to determine whether calculated splanchnic perfusion pressure (SPP) is more predictive of outcome than measured intragastric pressure (IGP) in patients with gastroschisis. METHODS: Retrospective chart review from 1997 through 2003 of 12 patients with gastroschisis. RESULTS: Eight total patients with gastroschisis underwent reduction and had adequate data for analysis.

One patient underwent reduction on day of life (DOL) 6; the remainder underwent reduction on DOL 1. All patients had postreduction IGP The correlation coefficient of IGP and return of bowel function was -0.06 and of SPP and return of bowel function was -0.50. CONCLUSION: SPP may be more predictive of outcome than IGP after gastroschisis repair.

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